基于Watson理论的人文关怀对出血性脑卒中患者心理状态及早期康复的影响  

The effect of humanistic care based on Watson’s theory on the psychological state and early rehabilitation of patients with hemorrhagic stroke

作　　者：李晶[1] 张艳明[2] 刘东远[1] 杨俊[1] 侯自明[1] 王浩[1] 张洪兵[1] LI Jing;ZHANG Yanming;LIU Dongyuan;YANG Jun;HOU Ziming;WANG Hao;ZHANG Hongbing(Neurosurgery Department of Beijing Luhe hospital affiliated to Capital medical university,Beijing 101149;Department of Rehabilitation medicine,Xuanwu hospital affiliated to Capital medical university,Beijing 100053,China)

机构地区：[1]首都医科大学附属北京潞河医院神经外科,101149 [2]首都医科大学宣武医院康复医学科,100053

出　　处：《中国老年保健医学》2022年第6期39-42,共4页Chinese Journal of Geriatric Care

基　　金：首都卫生发展科研专项基金(课题号:2018-3-7083)。

摘　　要：目的探讨基于Watson理论的人文关怀对出血性脑卒中患者心理状态及神经、运动功能康复的影响。方法选取2019年11月至2021年11月在我院神经外科接受治疗的138例出血性脑卒中患者为研究对象,随机分为对照组和试验组,每组69例。对照组给予常规护理及早期康复治疗,试验组给予基于Watson理论的人文关怀护理及早期康复治疗,比较两组患者干预3月后的焦虑、抑郁程度及运动、神经功能。结果干预3月后,试验组运动功能评估量表(FMA)评分高于对照组,且试验组美国国家卫生研究院卒中量表(NIHSS)评分、焦虑量表(SAS)及抑郁量表(SDS)评分均低于对照组(P<0.05)。结论采用基于Watson理论的人文关怀护理能够有效缓解急性出血性脑卒中患者焦虑抑郁情绪,帮助患者恢复运动、神经功能,推动康复的进程。Objective To explore the effect of humanistic care based on Watson theory on the psychological state and neurological and motor rehabilitation of patients with hemorrhagic stroke.Methods 138 hemorrhagic stroke patients treated in the Department of Neurosurgery of our hospital from November 2019 to November 2021 were included.They were randomly assigned to the control or the experimental group(69 cases/group).The control group received routine nursing and rehabilitation treatment,and the experimental group received humanistic care based on Watson theory and rehabilitation treatment.The anxiety,depression,motor and neurological functions of the two groups were compared after 3 months of intervention.Results After 3 months of intervention,motor function assessment scale(FMA)scores of the control group was lower than the experimental group,and the National Institutes of Health Stroke Scale(NIHSS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the control group were higher than those of the experimental group(P<0.05).Conclusion Humanistic care based on Watson theory can effectively alleviate the anxiety and depression of patients with acute hemorrhagic stroke,help patients recover motor and nerve function,promote the process of rehabilitation.

关 键 词：Watson理论 人文关怀 出血性脑卒中 焦虑 抑郁 早期康复 

分 类 号：R473.74[医药卫生—护理学]